EAAT2/GLT-1, being the most abundant subtype of glutamate transporter in the CNS, plays a key role in regulation of glutamate
neurotransmission. Dysfunction of EAAT2 has been correlated with various pathologies such as traumatic brain injury, stroke, Amyotrophic lateral sclerosis (ALS), Alzheimer's disease, among others. Therefore, activators of the function or enhancers of the expression of EAAT2/GLT-1 could serve as a potential therapy for these conditions. Translational activators of EAAT2/GLT-1, such as
ceftriaxone and LDN/OSU-0212320, have been described to have significant protective effects in animal models of ALS and epilepsy. In addition, pharmacological activators of the activity of EAAT2/GLT-1 have been explored for decades and are currently emerging as promising tools for neuroprotection, having potential advantages over expression activators.
DL-TBOA,
WAY-213,613, and
dihydrokainic acid are known inhibitors of the protein, and function as excitotoxins. They can be considered a novel class of
nerve agent toxins, inducing toxic levels of glutamate through transport inhibition in a manner analogous to the effect of
sarin on
cholinesterase. Antidotes for such a poisoning have never been formally tested for efficacy and are not readily available for medical use. Addiction to certain drugs (e.g.,
cocaine,
heroin,
alcohol, and
nicotine) is correlated with a persistent reduction in the expression of EAAT2 in the
nucleus accumbens (NAcc); == See also ==